Alicia Dawn Campanella, APRN-CNM in Tahlequah, OK - Medicare Advanced Practice Midwife

Alicia Dawn Campanella, APRN-CNM is a medicare enrolled "Advanced Practice Midwife" in Tahlequah, Oklahoma. Her current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 458-3100.

Alicia Dawn Campanella is licensed to practice in Oklahoma (license number 206445) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891409033.

Contact Information

	Alicia Dawn Campanella, APRN-CNM
	100 S Bliss Ave, Tahlequah, OK 74464-2512
	(918) 458-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Alicia Dawn Campanella
Gender	Female
Speciality	Advanced Practice Midwife
Location	100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891409033
Provider Enumeration Date: 01/12/2023
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4082079868
Enrollment ID: I20230501000762

Medical Identifiers

Medical identifiers for Alicia Dawn Campanella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891409033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	206445 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alicia Dawn Campanella allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia Dawn Campanella is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alicia Dawn Campanella, APRN-CNM 16018 W 710 Rd, Tahlequah, OK 74464-0440 Ph: (918) 916-3030	Alicia Dawn Campanella, APRN-CNM 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3100

Reviews and Comments

Advanced Practice Midwife Nurses in Tahlequah, OK

Mrs. Cheryl Delores Tarver, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3343
Ms. Mary Ann Bednarek, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3130 Fax: 918-458-3511
Leslie Williams, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-7105
Peachie Lou Barton-daugherty, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511
Tara Dawn Gartling, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 539-234-3002
Heidi Hale Reneau, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3360 Fax: 918-458-3511
Mrs. Linda Shodd Roberts, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1500 E Downing St, Suite 208, Tahlequah, OK 74464 Phone: 918-446-2496 Fax: 918-456-7108

Alicia Dawn Campanella, APRN-CNM - Medicare Advanced Practice Midwife in Tahlequah, OK